Individual
ALFONZO D BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 E 45TH ST STE 314, CLEVELAND, OH 44127-1095
(216) 682-6717
(888) 460-4717
Mailing address
2201 W 93RD ST APT 4, CLEVELAND, OH 44102-3779
(216) 682-6717
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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